鼻镜下鼻内翻性乳头状瘤切除效果及复发因素分析

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目的:研究鼻镜下鼻内翻性乳头状瘤切除治疗效果及复发情况。方法:随机抽取中国贵航集团302医院耳鼻喉科2014年2月至2015年2月收录的40例患者资料,均在鼻镜下对肿物范围、来源、是否有蒂等情况检查;本研究40例鼻内翻性乳头状瘤患者均采用切除肿瘤的治疗方式,结合鼻镜完成整个手术过程。于2个月后,对比治疗前后患者症状的差异性;对患者复发情况进行统计,分析导致复发的相关因素。结果:鼻镜检查为鼻内翻性乳头状瘤治疗提供线索,手术过程可清楚暴露病变情况;结果:治愈28例,显效9例,有效2例,无效1例;2个月后,仅2例复发,主要与病症严重、是否彻底切除等因素相关。结论:鼻镜下检查鼻内翻性乳头状瘤可辅助手术切除过程,避免术后并发症,鼻镜下手术安全高、创伤小、恢复快。 Objective: To study the efficacy and recurrence of nasal inverted papilloma under nasal endoscopy. METHODS: A random sample of 40 cases from February 2002 to February 2015 in the ENT department of 302 Hospital of China Guihang Group was examined. The scope, source, and pedicle of the tumor were examined under nasal endoscopy. All 40 cases of inverted inverted papilloma patients were treated with excision of the tumor, combined with nasal surgery to complete the entire surgical process. After 2 months, the difference in the symptoms of the patients before and after the treatment was compared; the recurrence of the patients was counted, and the factors that led to the recurrence were analyzed. RESULTS: Nose microscopy provided clues for the treatment of nasal inverted papilloma and the surgical process could clearly expose the lesions. Results: 28 cases were cured, 9 cases were markedly effective, 2 cases were effective, and 1 case was invalid; 2 months later, only 2 cases were found. Cases of recurrence were mainly related to factors such as severe illness and complete resection. Conclusion: The nasal endoscopic examination of inverted inverted papilloma can assist the resection process and avoid the postoperative complications. The operation under the nasal endoscope is safe, invasive and quick.
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